Lanitta Jane Weaver

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1435 McKinley St
Canon City, CO 81212-4453

Phone

(719) 280-3021

NPI assigned

Jul 3, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1992482657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 MCKINLEY ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812124453",
            "telephone_number": "719-280-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 MCKINLEY ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812124453",
            "telephone_number": "719-280-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "LANITTA",
        "middle_name": "JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walmart Inc.
• Walmart Inc.
• Tegan Walters, PTA
• Melissa Watley, LPC, LAC
• Jeremy Allen Weaver, BS
• Maria Elena Weaver, PHYSICAL THERAPIST
• Roxanne Weaver, MSW
• Karl James Weber, NP
• Laurie Lee Wertzbaugher, RN
• West Central Mental Health Center Inc.

• Peer Specialist in Canon City, CO
• Providers in Canon City, CO by specialty
• Peer Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.